BOUNNAO CHANTHADOUANGSY - Pharmacist License in Illinois | # 049146309

BOUNNAO CHANTHADOUANGSY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146309

License Status

NOT RENEWED

Business

N

First Name

BOUNNAO

Last Name

CHANTHADOUANGSY

Business Name

BOUNNAO CHANTHADOUANGSY

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006